The movement away from institutional care to community living, along w
ith improved nutrition and health care, has led to an increased lifesp
an for individuals with intellectual disabilities. In Canada, those wh
o were born before 1945 represent the first significant group to grow
old. Despite the increasing numbers of these individuals, relatively l
ittle is known about them, their life experiences, or their needs. The
y remain a largely invisible, undervalued, and often overlooked popula
tion, and are seldom the focus of new policy or program initiatives. T
his review of Canadian literature reports on issues related to the pre
valence, life expectancy and early aging of individuals with intellect
ual disabilities, describes the impact of changes in social policy on
their life experiences, outlines the needs and expectations of older a
dults and their families and, finally, suggests future directions for
policy development and research in Canada.